Titre :
|
Redeeming hollow promises : The case for mandatory spending on health care for American Indians and Alaska natives. (2006)
|
Auteurs :
|
Timothy-M WESTMORELAND ;
Kathryn-R WATSON ;
Georgetown University. Law Center. Washington. DC. USA ;
Georgetown University. Public Policy Institute. Washington. DC. USA
|
Type de document :
|
Article
|
Dans :
|
American journal of public health (vol. 96, n° 4, 2006)
|
Pagination :
|
600-605
|
Langues:
|
Anglais
|
Mots-clés :
|
Dépense santé
;
Dépense
;
Soins
;
Ethnie
;
Etats Unis
;
Amérique
;
Accès soins
;
Inégalité devant soins
;
Etat santé
;
Système santé
;
Economie santé
;
Assurance maladie
;
Amérique du Nord
|
Résumé :
|
[BDSP. Notice produite par INIST-CNRS R0xIfZh3. Diffusion soumise à autorisation]. The reliance on discretionary spending for American Indian/Alaska Native health care has produced a system that is insufficient and unreliable and is associated with ongoing health disparities. Moreover, the gap between mandatory spending on a Medicare beneficiary and discretionary spending on an American Indian/Alaska Native beneficiary has grown dramatically, thus compounding the problem. The budget classification for American Indian/Alaska Native health services should be changed, and health care delivery to this population should be designated as mandatory spending. If a correct structure is in place, mandatory spending is more likely to provide adequate funding that keeps pace with changes in costs and need.
|